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67 Cards in this Set
- Front
- Back
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Decreased levels of WBC
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Immunosuppression
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Increased leve of WBC
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Infection
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Decreased level of RBC
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Anemia
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Hematopoietic cells are also called?
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Stem cells
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What organ help regulate the production of, destruction, and differentiation of RBC?
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Lymph nodes, spleen, liver
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What produces 95% of the bodys blood cells?
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Bone marrow
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When will transfusion reaction occur?
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First 15 mins or 50ml of blood
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Post procedure nursing actions for blood transfusion
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Vs
Biohazard bag Blood values Document patient tolerance |
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Monitor for what in very old and very young patients during blood transfusion?
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Heart dysfunction and renal dysfunction (FVO)
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How long should a transfusion take?
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2-4hr
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Decreased level of h&h is evidence of what?
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Anemia
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Increased PT?
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Deficiency or clotting
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Decreased PT?
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Vit K excess
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What does aPTT monitor?
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Heparin therapy
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Another name for platelets?
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Thrombocytes
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What does INR monitor?
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Coumadin therapy
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What type of transfusion replaces blood volume and oxygen carrying capacity?
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Whole blood
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What type of transfusion restores clotting factors?
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FFP
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What is albumin given for?
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Shock and trauma
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Type of transfusion comes from a donor?
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Homologous
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What type of transfusion comes from self?
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Autologous
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What type of transfusion is for excessive blood loss?
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Whole blood
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What type of transfusion is for anemia?
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PRBC
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What type of transfusion is for chronic renal failure?
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PRBC
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What type of transfusion for coagulation factor deficiencies?
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FFP
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What is an example of a coagulation factor deficiency?
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Hemophilia
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What type of transfusion for platelet dysfunction or thrombocytopenia?
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Give platelets
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Pre-procedure nursing actions for blood transfusion?
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Type and cross. Rh factor.
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With Rh factor the D-antigen means?
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Positive for Rh
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What happens with Rh incompatibility?
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Hemolysis
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What gauge will u use for blood transfusions?
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Large bore. Nothing less than 20ga.
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Intra-procedure nursing actions for blood transfusions?
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Stay w/ pt for 15-30 min
Notify MD ASAP if reaction occurs |
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What would you give whole blood for?
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Blood loss or blood disorders
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When is the onset of acute hemolytic reaction?
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Immediate
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What type of transfusion reaction presents with these symptoms?
Fever, chills, HA, anxiety |
Febrile
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When is the onset of a febrile reaction?
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30min-6hr after transfusion
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What type of transfusion reaction presents with these symptom? Itching urticaria and flushing
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Mild allergic
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When does a mild allergic reaction occur?
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During or up to 24hr after reaction
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What type of transfusion present with these symptoms? Wheezing, dyspnea, and hypotension
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Anaphylactic
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What are the nursing actions for a febrile reaction?
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Antipyretics
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What are the nursing actions for a mild allergic reaction?
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Antihistamines
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What are the nursing actions for anaphylactic reaction?
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Maintain airway. Oxygen. IV fluids. Antihistamines. Corticosteroids. Vasopressors.
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If transfusion reaction occurs, you should initiate what type of infusion?
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0.9% sodium chloride
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MCV and MCH are also called?
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RBC indicies
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This lab test determines the size of RBC
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MCV
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This lab test determines the amount go Hgb per RBC.
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MCH
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A normal size cell is also called
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Normocytic
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A small size cell is also called
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Microcytic
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A large size cell is also called
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Macrocytic
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Normal amount of hemoglobin per RBC?
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Normochromic
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Decreased amount of Hgb per RBC
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Hypochromic
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This is a genetic disorder of Hgb synthesis
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Sickle cell disease
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S/sx of hemolytic crisis with sickle cell?
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Severe abd pain. Fever. HA. vomiting. CP and SOB
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Treatment for sickle cell disease
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HOP
hydration. O2. Pain management. |
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Decrease of RBC, WBC, and platelets
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Pancytopenia
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Inability of bone marrow to produce erythrocytes
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Aplastic anemia
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Cancer of lymphocytes and lymph nodes
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Lymphoma
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Type of lymphoma that mainly involve adults
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Hodgkins
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Non-Hodgkins is more commonly seen in?
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Adults over 50
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Plasma cells are also called?
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B-cell lymphocytes
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Function of plasma cells?
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Produce antibodies
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This is commonly found in a UA with a pt with multiple myeloma
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Bence-Jones and M proteins
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Female pt, pt with an autoimmune disorder, or pt with virus(kids only). This person is at risk for which coagulation disorder?
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ITP, idiopathic thrombocytopenia purpura
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What coagulation disorder is a person on heparin therapy at risk for?
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HIT. heparin induced thrombocytopenia
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Pt with septicemia, cardiopulmonary arrest, or hemorrhage. These people could be at risk for which coagulation disorder?
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DIC. disseminated intravascular coagulation.
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Manifestations of ITP?
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Petechiae and purpura
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What type of transfusion reaction present with these symptoms? Fever, chills, hypotension, and tachycardia
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Acute hemolytic
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